complaint·January 29, 2025

Records obtained from facility and Oakhurst Heritage Hospice was reviewed and revealed that R1 did not have an open wound. Records reviewed and interview conducted with hospice nurse revealed that R1 had a facial growth (quarter size) which was being treated by hospice and wound care specialist. Between the hospice nurse visit and wound care nurse R1 was seen three times a week;-twice a week from hospice and once a week by the wound care specialist. According to administrator and staff they observed change in R1’s condition (wound/growth) and it was immediately reported, and medical attention was provided. Administrator and staff stated that it was not there duty to clean R1’s wound and they would only observe and report to hospice. Interviews conducted confirmed that hospice and a wound care specialist was treating the growth on R1's face. Staff interviewed stated that R1’s wound was covered and only hospice would change the dressing. Records reviewed confirmed that R1 was last seen by hospice nurse on 07/17/2024; hospice notes reviewed indicated that R1’s growth was increasing in size and not getting better; however, there was no drainage noted. According to hospice nurse facility staff reported the incident immediately and were instructed to call 911. R1 was take to the hospital for further evaluation. According to hospice nurse facility staff did not provide any type of wound care. Additional interviews were conducted during today's visit with potential witnesses regarding the facility staff care services. All interviewed reported being satisfied with the care services provided by the facility staff. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the above allegation “Resident developed maggot infested wound while in care of staff.” is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.